SOUTHEAST MISSOURI RESIDENTIAL SERVICES ISL
NPI 1598906372
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Poplar Bluff, MO

NPI Status: Active since March 09, 2009

Contact Information

2351 KANELL BLVD
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 840-9374

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  • Community Based Residential Treatment Fa...

About SOUTHEAST MISSOURI RESIDENTIAL SERVICES ISL

This page provides the complete NPI Profile along with additional information for Southeast Missouri Residential Services Isl, a provider established in Poplar Bluff, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1598906372 assigned on March 2009. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Southeast Missouri Residential Services Isl. The authorized official of this NPI record is Molly Jane Boeckmann (Director Of Administrative Services)

NPI
1598906372
Provider Legal Name
STATE OF MISSOURI
Other Organization Name
SOUTHEAST MISSOURI RESIDENTIAL SERVICES ISL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2351 KANELL BLVD POPLAR BLUFF, MO 63901
Location Phone
(573) 840-9374
Mailing Address
1706 E ELM ST JEFFERSON CITY, MO 65101
Mailing Phone
(573) 751-3398
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-09-2009
Last Update Date
09-03-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOLLY JANE BOECKMANN

Authorized Official Title
DIRECTOR OF ADMINISTRATIVE SERVICES
Authorized Official Phone
(573) 751-4055

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1598906372, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 8 + 8 + 1 + 8 + 0 + 1 + 2 + 3 + 1 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1598906372.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Case Management
2351 KANELL BLVD
POPLAR BLUFF, MO 63901
Day Training, Developmentally Disabled Services
2351 KANELL BLVD
POPLAR BLUFF, MO 63901
Intermediate Care Facility, Intellectual Disabilities
2351 KANELL BLVD
POPLAR BLUFF, MO 63901
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2351 KANELL BLVD
POPLAR BLUFF, MO 63901
Family Medicine
2351 KANELL BLVD
POPLAR BLUFF, MO 63901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598906372, enumerated as an "organization" on March 09, 2009.

The provider is located at 2351 KANELL BLVD POPLAR BLUFF, MO 63901 and the phone number is (573) 840-9374.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.